AMY LYNN WIRTZ LCSW
NPI 1306493739
Counselor in Portland, OR

Q: What is Amy Wirtz's NPI number?

The NPI number for Amy Wirtz is 1306493739. It was assigned to this individual provider in the NPPES registry on August 21, 2019. The provider is also known as Amyl Lynn Crossman.

Q: What is Amy Wirtz's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Wirtz was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 21, 2019PECOS Enrolled

14600 NW CORNELL RD, PORTLAND, OR 97229(503) 645-3581 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amy Lynn Wirtz Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY LYNN WIRTZ LCSW (NPI 1306493739) is an individual counselor in Portland, Oregon and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1306493739

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAMY LYNN WIRTZCredential: LCSW

Location Address14600 NW CORNELL RDPortland, OR 97229-5442

Mailing Address14600 Nw Cornell RdPortland, OR 97229-5442 · (503) 645-3581

Phone(503) 645-3581

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 21, 2019

✔ NPI 1306493739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

14600 NW CORNELL RD, Portland, OR 97229

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Other Names 1

Former Name (1)Amyl Lynn Crossman

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Lynn Wirtz Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789152323

PECOS Enrollment IDI20260501002604

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LUCRECIA FARIAS

Counselor (Mental Health)